Search › Michigan › 163WL0100X
Courtney Vandriel, RN, IBCLC
NPI 1861903072 · on the registry since 2017 · sole proprietor
Practice
- Address
- 5161 Northland Dr Ne
Grand Rapids, MI 49525 - Phone
- (616) 498-7002
- Organisation at this address
- Athletico Ltd
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 163WL0100X
163WL0100X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-10-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan